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Integrating dream work into group schema therapy for individuals with borderline patients

  • Jan Prasko*
  • , Jozef Visnovsky
  • , Marie Ociskova
  • , Matej Kasal
  • , Martin Mikula
  • , Erika Jurisova
  • , Milos Slepecky
  • , Marija Ābeltiņa
  • , Ieva Bite
  • , Ilona Krone
  • , Julija Gecaite-Stonciene
  • , Alicja Juskiene
  • , Julius Burkauskas
  • , Matej Kasal
  • , Jakub Vanek
  • *Corresponding author for this work
  • Palacký University Olomouc
  • Jessenia Inc. Rehabilitation Hospital Beroun
  • Constantine the Philosopher University
  • Latvian Association of CBT
  • Department of Health Psychology and Pedagogy
  • Riga Stradins University
  • Lithuanian University of Health Sciences
  • Charles University
  • Frydek Mistek Hospital

Research output: Contribution to journalArticlepeer-review

Abstract

INTRODUCTION: Borderline personality disorder (BPD) is associated with signifi cant difficulties in emotional regulation and a higher prevalence of nightmares, which increase emotional instability and decrease quality of life. Dreams repre sent valuable therapeutic material that can reveal internal conflicts and support self-awareness. OBJECTIVE: This article explores dreamwork in group schema therapy (GST) aimed at the early maladaptive schemas (EMS) and modes. The ultimate goal of these approaches is to support the Healthy Adult mode in processing the emotional needs of patients with BPD. METHODS: TThe article presents the theoretical foundations and therapeutic techniques, including imagery, dream rescripting, chairwork, and amplification of dream images. Case vignettes illustrate how dreamwork can help recognise and process a patient's internal conflicts and thus aid the therapy process.RESULTS: Dreamwork in GST helps patients better understand their emotional needs and schemas. The increased awareness helps to modify dysfunctional behaviour and improve emotional stability. The group therapy format allows patients to share their experi ences and receive support from others, which increases the feeling of belonging and security. DISCUSSION: Dreamwork in GST creates a safe space for processing internal conflicts related to EMS and connections with real possibilities in the patient's life. Dreamwork also brings challenges, such as the risk of slipping into intellectualisation or being over whelmed by strong emotions and unable to resolve impactful dreams. Dedicated courses and research are needed to warrant effective implementation and elabo ration of these methods. CONCLUSION: Dreamwork in GST might be an effec tive tool for promoting self-awareness, processing emotional conflicts, and strengthening the Healthy Adult and Kind Parent modes.

Original languageEnglish
Pages (from-to)221-231
Number of pages11
JournalNeuroendocrinology Letters
Volume46
Issue number4
Publication statusPublished - 2025

OECD Field of Science

  • 3.2 Clinical Medicine

Keywords

  • Borderline personality disorder
  • Chairwork
  • Dreams
  • Emotional regulation
  • Group therapy
  • Healthy Adult mode
  • Imagery rescripting
  • Nightmares
  • Schema therapy

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